NPI: 1972847309 · MOUNT VERNON, IL 62864 · 363LW0102X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 221 | $42K |
| 2020 | 876 | $33K |
| 2021 | 1,081 | $48K |
| 2022 | 1,990 | $80K |
| 2023 | 3,794 | $145K |
| 2024 | 7,307 | $394K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 2,016 | 1,410 | $155K | |
| 99214 | 1,151 | 891 | $115K | |
| 87491 | 1,557 | 1,305 | $66K | |
| 87591 | 1,547 | 1,304 | $66K | |
| 0502F | 1,081 | 740 | $53K | |
| 99212 | 555 | 344 | $45K | |
| 87389 | 683 | 569 | $39K | |
| J7307 | Etonogestrel implant system | 44 | 27 | $37K |
| 87661 | 1,214 | 1,001 | $35K | |
| 87801 | 587 | 408 | $25K | |
| 76817 | 345 | 305 | $22K | |
| 86780 | 683 | 568 | $11K | |
| 87511 | 214 | 164 | $10K | |
| 76805 | 80 | 73 | $7K | |
| 0500F | 67 | 54 | $6K | |
| 80307 | 126 | 121 | $6K | |
| 86803 | 355 | 286 | $6K | |
| 59430 | 31 | 27 | $4K | |
| 85025 | 683 | 597 | $4K | |
| 87340 | 310 | 262 | $4K | |
| 96127 | 265 | 218 | $4K | |
| 99395 | 45 | 38 | $4K | |
| 81025 | 639 | 544 | $3K | |
| 96160 | 202 | 145 | $3K | |
| 87624 | 88 | 76 | $3K | |
| 86762 | 264 | 218 | $2K | |
| 87798 | 60 | 60 | $2K | |
| 99459 | 101 | 100 | $1K | |
| 99203 | 27 | 26 | $1K | |
| 76830 | 17 | 15 | $1K | |
| 96372 | 117 | 111 | $1K | |
| 11981 | 13 | 12 | $1K | |
| 82950 | 88 | 68 | $410.08 | |
| J1050 | Medroxyprogesterone acetate | 14 | 12 | $297.70 |